| Rayllensons Itacy, PA | |
|
2020 Cumming Highway, Suite 102, Canton, GA 30115 | |
| (678) 593-1295 | |
| (678) 593-1294 |
| Full Name | Rayllensons Itacy |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 2020 Cumming Highway, Canton, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174804702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 006147 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aga Professional Services Llc | 3870768997 | 175 |
| Entity Name | Aga, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124064118 PECOS PAC ID: 2365431350 Enrollment ID: O20040506000726 |
| Entity Name | Aga Professional Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063799120 PECOS PAC ID: 3870768997 Enrollment ID: O20111219000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Rayllensons Itacy, PA 550 Peachtree St Ne, Suite 1600, Atlanta, GA 30308-2212 Ph: (404) 881-1094 | Rayllensons Itacy, PA 2020 Cumming Highway, Suite 102, Canton, GA 30115 Ph: (678) 593-1295 |
Uma T Daya, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 220 Oakside Ln, Canton, GA 30114 Phone: 678-807-1050 Fax: 770-720-7384 |
Alyssa Giardina, Physician Assistant Medicare: Medicare Enrolled Practice Location: 216 Moore Valley Way, Canton, GA 30115 Phone: 678-710-1312 |
Mr. Colin Flanagan, PS-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 150 Cedar Woods Trl, Canton, GA 30114 Phone: 631-807-5906 |
Brittany Marie Stento, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 470 Northside Cherokee Blvd Ste 230, Canton, GA 30115 Phone: 770-924-9656 |
Daniel Todd Cannon, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1521 Hickory Flat Hwy Ste 200, Canton, GA 30115 Phone: 470-297-1310 |
Mrs. Kirby Brown Reinecke, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 120 Oakside Ct, Suite H, Canton, GA 30114 Phone: 678-880-8770 Fax: 770-213-4418 |
Richard F Hamaker, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 220 Oakside Ln, Canton, GA 30114 Phone: 678-807-1050 Fax: 678-807-1055 |